Active NPI
Mary Stewart, RPH
- Pharmacist
- Youngsville, NC
National Provider Identifier
1174831622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16956
- Practice address
- 1190 US 1 Hwy
Youngsville, NC 27596-8607 - Phone
- (919) 554-1183
- NPI assigned
- Sep 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16956 | NC | Primary |
| Pharmacist | 183500000X | PH1523 | HI |
Addresses
Primary practice location
1190 US 1 Hwy
Youngsville, NC 27596-8607
Mailing address
1190 US 1 Hwy
Youngsville, NC 27596-8607
Phone (919) 554-1183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH1523 | HI | MD | Pharmacist |
| 16956 | NC | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Southern Pines, NC
- NPI 1538999107
-
- Pharmacy
- Youngsville, NC
- NPI 1144467077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284681600000",
"number": "1174831622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1190 US 1 HWY",
"city": "YOUNGSVILLE",
"state": "NC",
"postal_code": "275968607",
"telephone_number": "919-554-1183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 US 1 HWY",
"city": "YOUNGSVILLE",
"state": "NC",
"postal_code": "275968607",
"telephone_number": "919-554-1183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "MARY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-17",
"last_updated": "2010-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "16956",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH1523",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngsville, NC
- Margaret M Sims, PH.D, MT (ASCP)
- Stacey Lynne Smit
- Nathan William Sommer, DDS
- Spartan Psychotherapy, PLLC
- Trutina-Maria Spoonamore, PSYD
- Stites Home Care LLC
- Wilhemina Judkins Talley, THERAPISTS
- Melanie Teusch, LCMHC
- The Center for Emotional & Behavioral Change, Inc. (Cebc)
- Therapeutic Resource Associates PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.